Active NPI
Nupoor Shroff
- Physical Therapist
- New York, NY
National Provider Identifier
1558895672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039754-1
- Practice address
- 2 Rector St
1303
New York, NY 10006-1819 - Phone
- (212) 374-0181
- NPI assigned
- Apr 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 039754-1 | NY | Primary |
Addresses
Primary practice location
2 Rector St
1303
New York, NY 10006-1819
Mailing address
1535 Main St
Unit 111
Tewksbury, MA 01876-2198
Phone (309) 989-7107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039754-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Profitness Physical Therapy | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
688 Cary Towne Blvd
Cary, NC 27511
Phone (919) 324-6344
1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- New York, NY
- NPI 1871982231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1558895672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 MAIN ST",
"address_2": "UNIT 111",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018762198",
"telephone_number": "309-989-7107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 RECTOR ST",
"address_2": "1303",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100061819",
"telephone_number": "212-374-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHROFF",
"first_name": "NUPOOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-14",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039754-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.